Organization Active NPI

Janie Thomas Kondell, Psy.D., P.a.

  • Psychologist
  • Hollywood, FL
National Provider Identifier
1558601757
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY5414 Issued in FL
Legal business name
JANIE THOMAS KONDELL, PSY.D., P.A.
Practice address
3325 Hollywood Blvd
Suite 203
Hollywood, FL 33021-6999
Phone
(954) 962-0454
Fax
(954) 962-0989
NPI assigned
Feb 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Janie Thomas Kondell, PSY.D.
Title
President
Phone
(954) 962-0454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY5414 FL Primary

Addresses

Primary practice location

3325 Hollywood Blvd
Suite 203
Hollywood, FL 33021-6999

Mailing address

3325 Hollywood Blvd
Suite 203
Hollywood, FL 33021-6999
Phone (954) 962-0454

Other identifiers 2

IdentifierTypeStateIssuer
1770640427OtherFLINDIVIDUAL PRACTITIONER
177064427OtherFLINDIVIDUAL PRACTITIONER

National Provider Directory

National Provider Directory

Locations

3325 Hollywood Blvd
Ste 203
Hollywood, FL 33021
Phone (954) 929-4443

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1558601757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 HOLLYWOOD BLVD",
            "address_2": "SUITE 203",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216999",
            "telephone_number": "954-962-0454",
            "fax_number": "954-962-0989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 HOLLYWOOD BLVD",
            "address_2": "SUITE 203",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216999",
            "telephone_number": "954-962-0454",
            "fax_number": "954-962-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANIE THOMAS KONDELL, PSY.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "KONDELL",
        "authorized_official_first_name": "JANIE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-962-0454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PRACTITIONER",
            "identifier": "1770640427",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PRACTITIONER",
            "identifier": "177064427",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.